Provider Demographics
NPI:1770891988
Name:JEWELL, LINDSAY JO (NP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JO
Last Name:JEWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3909 ORANGE PL
Mailing Address - Street 2:STE 2100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-8400
Mailing Address - Country:US
Mailing Address - Phone:216-896-1800
Mailing Address - Fax:
Practice Address - Street 1:1205 MONUMENT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-7406
Practice Address - Country:US
Practice Address - Phone:904-646-4225
Practice Address - Fax:904-661-1948
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025356363L00000X
FL9359300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily